Individual
MR. SCOTT ROBERT HAERTEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC, CSCS
Contact information
Practice address
3420 BLUE RIDGE DR, CARPENTERSVILLE, IL 60110-3601
(702) 217-5505
Mailing address
3420 BLUE RIDGE DR, CARPENTERSVILLE, IL 60110-3601
(702) 217-5505
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096000997
IL
Other
Enumeration date
03/08/2010
Last updated
03/08/2010
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